Student Category (Please Tick )

Master Student
PhD Student
Visiting Student
Senior Visiting Student

ADMISSION APPLICATION FORM FOR INTERNATIONAL STUDENTS

Before filling out the form please read CAREFULLY the instructions given at the end
1. Name in Passport

Photo
SURNAME

/FIRST

MIDDLE

2. Chinese name(Optional)
3. Country of citizenship
4. Passport No.
5. *Gender : Male Female
6. Marital status
7. Religion
8. * Date of birth (yyyy/mm/dd)

9. Place of birth

10 /Permanent address

FAX

TELEPHONE

E-MAIL

11. Current mail address if different from the permanent address

FAX

TELEPHONE

E-MAIL

12. * Research field and institute in which I am applying

13. * Expected duration of study

From

Year

Month

to

Year

Month

14. * Highest qualification level

Institution

Location

Major Date (from _to ) Degree awarded

15. * Working experience (Starting from current position, attach additional sheet if needed)

Employer Name

Location

Datefrom to

Position

16. Language proficiency (Excellent/Good/Fair/Elementary)

Language

Reading

Writing

Listening

Speaking

Chinese

English

17. Degree thesis and major publicationsAttach additional sheet if needed)

18. * References

Full Name
Designation

Full Name
Designation

Organization
Address & Tel
Organization
Address & Tel

19 Scholarship application and other sources of financial support (Please tick )

The UCAS scholarship I wish to apply for (Please tick)

Full Scholarship
Partial Scholarship (Tuition ; Housing ; Living stipend )

If funded by other organization, please specify

20. Other relevant information you may provide

Declarations:

I hereby affirm:
1.
2.

I have reviewed the above information, and it is true and complete to the best of my knowledge.
I shall abide by the laws of the Chinese government and the regulations of the UCAS.

Signature:

Date:

The application will be invalid without the applicants signature

This page is to be filled in by the applicants supervisor and institution

Email

1.

2.

1.

2.
3.

4.

5. :

Instructions:
1. The Agency Number of UCAS is 80170.
2. This form is to be filled out by the applicant in Chinese or English. Any incomplete application or complete application
in languages other than Chinese or English will be invalid; Please use to tick the box in the relevant items to indicate
your selection.
3 For applicants who are applying for UCAS scholarship, please tick the related items.
Full scholarship covers: ()Tuition ()Housing ()/Living stipend;
scholarship.

Partial scholarship: /One or two items of full

4 For PhD and Master Students: RMB600; for visiting student and senior visiting student: RMB450.
Applicants have to submit Admission fee in Chinese currency (RMB ) in favor of the University of Chinese Academy
of Sciences:

11001059200053002790
Name: University of Chinese Academy of Sciences
Account number: 11001059200053002790
Bank: Construction Bank of China
Beijing Municipal Dongfang Guangchang Branch
SWIFT CODEPCBCCNBJBJX

5 Applicants should send this application form along with the following documents by mail to the relevant institutes.
()Payment certification of application processing fee;
()Highest degree certificate (notarized photocopy);
()Transcripts of your undergraduate or graduate study (notarized photocopy);
()Two recommendation letters issued by associate professors or by professors;
()Curriculum vitae and research proposal;
()Photocopy of the first page of regular passport;
() Photocopy of the title page of each published academic paper including its abstract.